Abstract
Objective: To evaluate influence of solution-focused nursing for severe acute pancreatitis patients in Double Filtration Plasmapheresis. Methods: 260 patients were invited join our study who were diagnosed as acute pancreatitis, they undergoing Double Filtration Plasmapheresis from January 2015 to September 2019. The participants assigned randomly into the intervention group and control group. The control group patient receive traditional nursing services in treatment process. Also, the intervention group patient receive solution-focused nursing services. Additionally, we collected the data from all participants, the data included anxiety information, depression information, self-care ability, self-management effectiveness, Serum amylase, Urine amylase, tumor necrosis factor-α and interleukin- 6. The used questionnaires include Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS), exercise of self-care a- gency (ESCA) and Chronic Disease Self Efficacy Scales Stanfor (SESC). Result: The intervention group had greater score in SDS and SAS, but the gap of improvement between intervention group and control group was not big. In 4 domains of ESCA, all improvements were undistinguished in control group. Besides, the self-management ability improvement of two groups was slightly in the result, but intervention group had greater performance than that of control group in all domains. Conclusion: The solution focused nursing improve the outcome of DFPP treatment with AP patient in Chinese hospital. The improvement included 4 domains in the result, such as mental health (anxiety & depression), self-care ability, self-management ability and recovery status. But the simple size was limit the accuracy of results.
Highlights
Double Filtration Plasmapheresis (DFPP) is a general treatment method with patients with liver failure, has been used increasingly for induction of immunotolerance in high-risk operation [1,2,3]
We collected data using the following questionnaires; Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS), exercise of self-care a- gency (ESCA) and Chronic Disease Self Efficacy Scales Stanfor (SESC). Another data was from patient record and assay result [18, 19]. Their inclusion criteria were: (1) the patients were diagnosed as acute pancreatitis; (2) They undergoing Double Filtration Plasmapheresis; (3) Patients volunteered to participate in follow-up; Their withdraw criteria were: (1) the patients had too many complications; (2) They had other pancreatic problems
The AP patients have 10% progressing to chronic pancreatitis, because patients with acute pancreatitis have an increased risk of further reoccurrence [21]
Summary
Double Filtration Plasmapheresis (DFPP) is a general treatment method with patients with liver failure, has been used increasingly for induction of immunotolerance in high-risk operation [1,2,3]. Yanyun Chen et al.: Assessing Influence of Solution-focused Nursing for Severe Acute Pancreatitis Patients in Double Filtration Plasmapheresis morbidity of 13-45/100,00 worldwide [11]. The aim of our study is assess influence of solution-focused nursing for severe acute pancreatitis patients in double filtration Double Filtration Plasmapheresis. We collected data using the following questionnaires; Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS), exercise of self-care a- gency (ESCA) and Chronic Disease Self Efficacy Scales Stanfor (SESC). Another data was from patient record and assay result [18, 19]. Their inclusion criteria were: (1) the patients were diagnosed as acute pancreatitis; (2) They undergoing Double Filtration Plasmapheresis; (3) Patients volunteered to participate in follow-up; Their withdraw criteria were: (1) the patients had too many complications; (2) They had other pancreatic problems
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